Who Are You? Views of Self as Reported by 90 Depressed Adolescent Psychiatric Inpatients.

IF 1.3 Q3 PSYCHIATRY
Alpha psychiatry Pub Date : 2025-02-28 eCollection Date: 2025-02-01 DOI:10.31083/AP38761
Christopher McGovern, James C Overholser, Christiana Silva
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Abstract

Background: The factors contributing to adolescents' views of self can be complex and idiosyncratic. Self-esteem can hinge upon a narrow or broad set of factors, depending on how the adolescent conceptualizes the self. The present study examines how narrow and broad views of self may be differentially related to measures of depression severity and suicide risk among adolescents.

Methods: In total, 90 adolescent psychiatric inpatients were evaluated while hospitalized during a major depressive episode. All patients completed the Children's Depression Inventory, the Hopelessness Scale for Children, the Rosenberg Self-Esteem Scale, and the Self-Esteem Worksheet-an idiographic measure that allows each person to rate the importance and success related to enter their personal values and priorities.

Results: Compared to depressed adolescent inpatients, depressed and suicidal teens reported significantly higher levels of depression and hopelessness, along with significantly lower levels of self-esteem on both measures of self-esteem. Further, lower scores on the Self-Esteem Worksheet were associated with more severe depression, elevated hopelessness, and elevated suicidal ideation.

Conclusions: The Self-Esteem Worksheet provides insights into the mind of vulnerable teens that may help to guide treatment and prevention efforts.

背景:影响青少年自我观的因素可能是复杂和特殊的。自尊取决于一系列或窄或宽的因素,这取决于青少年如何对自我进行概念化。目前的研究考察了狭义和广义的自我观与青少年抑郁严重程度和自杀风险之间的差异。方法:共对90例青少年精神病住院患者在重度抑郁发作期间进行评估。所有的病人都完成了儿童抑郁量表、儿童绝望量表、罗森博格自尊量表和自尊工作表。自尊工作表是一种具体的测量方法,允许每个人评估与个人价值观和优先事项相关的重要性和成功。结果:与住院的抑郁青少年患者相比,抑郁和自杀青少年报告的抑郁和绝望程度明显更高,自尊水平和自尊水平都明显较低。此外,自尊工作表得分越低,抑郁程度越严重,绝望程度越高,自杀意念越高。结论:自尊工作表提供了对弱势青少年心理的洞察,可能有助于指导治疗和预防工作。
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